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Montana rates for HCPCS Q4178

Floweramniopatch Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.30 / $97.45 / $103.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.05 / $105.05 / $105.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $105.05 / $105.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $105.05 / $108.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $97.00 / $126.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41